Surgical and prosthetic reconsiderations in patients with maxillectomy

Summary  The purpose of this study was to establish and evaluate new possibilities for rehabilitation of patients with obturator prosthesis who had undergone partial or total maxillectomy because of tumour ablation surgery. Eleven patients with maxillary defects were reconstructed with a computer‐ai...

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Bibliographic Details
Published in:Journal of oral rehabilitation 2010-02, Vol.37 (2), p.138-142
Main Authors: LETHAUS, B., LIE, N., De BEER, F., KESSLER, P., De BAAT, C., VERDONCK, H. W.
Format: Article
Language:English
Subjects:
3D technology
Aged
Carcinoma, Squamous Cell - rehabilitation
Carcinoma, Squamous Cell - surgery
Computer-Aided Design
defect design
Dental Implants
Dental Prosthesis Design
Dental Prosthesis, Implant-Supported
Dentistry
Female
Follow-Up Studies
Humans
Hypesthesia - etiology
implants
Male
Maxilla - surgery
Maxillary Neoplasms - rehabilitation
Maxillary Neoplasms - surgery
maxillectomy
Middle Aged
obturator
Palatal Obturators
Patient Satisfaction
Reconstructive Surgical Procedures - methods
Retrospective Studies
Social Adjustment
Treatment Outcome
Xerostomia - etiology
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Summary:Summary  The purpose of this study was to establish and evaluate new possibilities for rehabilitation of patients with obturator prosthesis who had undergone partial or total maxillectomy because of tumour ablation surgery. Eleven patients with maxillary defects were reconstructed with a computer‐aided design/computer‐aided manufacturing designed prosthesis. Missing retention was gained by inserting implants in the remaining bone, so that an expansion of the surgical defect to gain further retention could be avoided. All patients were treated successfully according to the previously described treatment plan. The Obturator Functioning Scale (OFS) of the Memorial Sloan‐Kettering Cancer Centre was applied to evaluate the functional quality of the obturator prosthesis and patient’s satisfaction. It showed good results in all fields of functional outcome and social acceptance.
ISSN:0305-182X
1365-2842
DOI:10.1111/j.1365-2842.2009.02031.x